Which is safer to have children at home or in hospital?

June 4, 2019 / BIOON / - Prince Harry and Megan markel announce the birth of their first child, a boy While the world is anxiously waiting for the birth of the Royal baby, there are more and more speculation about where Megan markel will give birth It was reported that she wanted to give birth at home for reasons of privacy and comfort, which again sparked a debate about the safety of giving birth at home While some media are positive about the idea, there are also some that warn about the risks of childbirth, especially at home Giving birth at home is a safe choice in the UK, until the 1960s, most women gave birth at home After the establishment of the national health service system, the peel report in 1970 recommended universal hospital delivery By 1975, only 5% of women were still giving birth outside the hospital Photo source: http://cn.bing.com the situation in Canada is similar In the middle of the 20th century, the birth population was far away from home The safety of mothers and children has been declared the reason for this change However, there is little evidence that hospitals have improved the safety of childbirth for women who experience normal, healthy pregnancies Kathi Wilson and her colleagues are proud to provide evidence-based care to pregnant women who choose midwifery care, as an assistant professor of the registered midwife and midwife education program at McMaster University in Ontario They know that there has been a lack of good evidence in the past to support the safety of delivery at home However, recent studies from several countries have shown that giving birth at home is a safe option for those with a lower risk of pregnancy C-section rates were lower in Canada, and three studies - one from British Columbia and two from Ontario - looked at the results of more than 21000 planned home births The planned family delivery group includes women transferred to hospitals The researchers compared these results with those of low-risk women delivered in hospitals by midwives or family doctors Photo source: http://cn.bing.com these studies show that the outcome of newborns is the same However, women who plan to deliver at home have lower rates of obstetric interventions, such as painkillers and fetal monitoring, and lower caesarean section rates Similarly, in the UK, a study of places of birth (including families) has concluded that, in general, newborn outcomes do not vary by place of birth However, babies born to mothers who were first pregnant were slightly more likely to have adverse outcomes On the other hand, home delivery is more common in the Netherlands, with a study of 529688 mothers showing no difference in neonatal outcomes between home delivery and hospital delivery, although more than 40 per cent of the women in the study had planned to deliver at home Public funded midwives are an essential part of the home delivery safety promotion program, and a key component is the participation of regulated and trained midwives in the health system In Canada, the UK and the Netherlands, midwives receive university level education Midwife care, regardless of place of birth, is funded by the government and is readily accessible for emergency services and hospital deliveries It is an important part of safe family delivery service to transfer to hospital when necessary In Canada, between 20 and 25 per cent of planned home deliveries are transferred to hospitals Most of these metastases are non urgent, such as prolonged delivery or pain relief In many cases, midwives will continue to take care of mothers in hospitals Currently in Ontario, about 4000 or 3 per cent of 140000 new births a year are planned to be born at home Photo source: http://cn.bing.com the long tradition of royal family birth has been increasingly accepted by obstetricians in the past few years The Canadian Association of Obstetricians and gynecologists recently issued a statement supporting healthy, low-risk women's choice to give birth at home In the UK, the National Institute of health and healthcare excellence recommends that healthy women with uncomplicated pregnancies consider out of hospital delivery, including at home delivery, in order to reduce intervention rates, particularly caesarean section If Megan markel's children were really born at the flegmore villa, it would be part of a long tradition of royal birth at home There is no doubt that the birth of royal families will increase the choice of place of birth in the UK and elsewhere So, is it safe to work at home or in hospital? Please follow the doctor's advice! Please follow the doctor's advice! Please follow the doctor's advice! Please follow the doctor's advice! [1] Royal baby: did Meghan Markle have a home birth? 【2】 The royal baby is here！ Prince Harry says Meghan Markle has given birth to a boy 【3】 Intrapartum Care： Care of Healthy Women and Their Babies During Childbirth 【4】 Choice， policy and practice in maternity care since 1948 【5】 In Context： Understanding Maternity Care in Canada 【6】A de Jonge et al Perinatal mortality and morbidity in a nationwide cohort of 529？ 688 low‐risk planned home and hospital births https：//doi.org/10.1111/j.1471-0528.2009.02175.x 【7】Elizabeth K Darling RM et al Distance from Home Birth to Emergency Obstetric Services and Neonatal Outcomes： A Cohort Study https：//doi.org/10.1111/jmwh.12896
【8】 Intrapartum care for healthy women and babies